Abstract

We have an improved understanding of the pathophysiology and impact of perioperative pain. Targeted interventions to prevent and manage nociception are effective in improving patient satisfaction and surgical outcome. There are many alternatives, each with its own profile of benefits, risks and side-effects. A logical, stepwise, balanced approach utilising multiple modalities is effective, scales easily to the type of surgery, can adapt to changing requirements and resources, and promotes a seamless transition from theatre care to the ward and patient self-reliance.